| NPI | 1447352158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: VA 0101236577) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: MI 4301087081) |
| 2085R0001X Radiology, Radiation Oncology (Licence: IN 01062913A) | |
| 208D00000X General Practice (Licence: VA 0101236577) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2022-11-15 |